Author: Azeem Majeed

I am Professor of Primary Care and Head of the Department of Primary Care & Public Health at Imperial College London. I am also involved in postgraduate education and training in both general practice and public health, and I am the Course Director of the Imperial College Master of Public Health (MPH) programme.

NHS England’s plans to cut prescribing for low-value items: well-intentioned but poorly implemented

Professor Azeem Majeed shares his take on the realities of NHS England’s proposed ‘do not prescribe list' for primary care.
Professor Azeem Majeed shares his take on the realities of NHS England’s proposed ‘do not prescribe’ list for primary care.


This week NHS England (the organisation responsible for managing the NHS in England) announced plans to curb the prescribing of ‘low-value’ items. This includes items such as silk garments, and bath and shower emollient for eczema and dermatitis. The plans follow on from earlier guidance issued by NHS England that aimed to limit the prescribing medications that are available over the counter, such as paracetamol and ibuprofen.

At a time when the NHS faces unprecedented workload and funding pressures, health professionals and the public all recognise the need to make the most efficient use of the resources available to the NHS; and prioritising key clinical areas such as cancer care. Prescribing costs in primary care, currently around £10bn annually, are a key component of the NHS budget in England. It is therefore entirely appropriate to look at this area to see where savings can be made without compromising patient care. (more…)

Universal Health Coverage in the United Kingdom: past, present and future

NHS staff with a patient at Charing Cross Hospital
NHS staff with a patient at Charing Cross Hospital

On World Health Day, Professor Azeem Majeed takes a look at the past, present and future of the NHS.


In 2018, the United Kingdom’s National Health Service (NHS) celebrates its 70th anniversary. With the creation of the NHS in 1948, universal health coverage was finally implemented in the United Kingdom, with the NHS replacing the previous patchy health coverage schemes that had left many people with limited access to health services. All residents of the United Kingdom were given the right to register with a general practitioner, who was responsible for both providing primary care services and organizing referrals for specialist care. (more…)